What Is Ecstasy? Effects, Uses, and Risks

Experts have called for more studies on MDMA’s lasting effects on the brain. MDMA — also known as ecstasy or molly — is a psychostimulant drug with effects similar to both stimulants and hallucinogens. Often considered a party drug, MDMA is one of the most widely used psychostimulants in the world. While there is not yet a consensus as to whether MDMA is addictive, using it may have negative consequences.

• In severe circumstances, serotonin syndrome can cause a loss of consciousness and seizure.Molly may contribute to potentially dangerous side effects when mixed with contraindicating medications.
• Edmund has an extensive background in addiction research and medical writing, working collaboratively with doctors, substance use disorder specialists, and clinical experts across all content on Recovered.
• In the world of psychedelics, it’s raves, arrests, and adulterated substances with unpredictable risks that often make prime-time news.
• Ecstasy has several effects during the hours it’s active in your system.
• Instead, it is often misrepresented as MDMA (while actually being another substance like methylone or methamphetamine), or otherwise often cut with other substances, unwittingly or not.
• Taking multiple doses of pure MDMA at once, or combining it with alcohol or other illegal or prescription drugs, makes it even less safe.
• These can vary in intensity depending on the person and how much MDMA they use.

Is MDMA safe?

In the 1980s and 1990s it burst upon the club scene as a party drug. DoubleBlind is a trusted resource for news, evidence-based education, and reporting on psychedelics. We work with leading medical molly drug wiki professionals, scientific researchers, journalists, mycologists, indigenous stewards, and cultural pioneers. Read about our editorial policy and fact-checking process here.

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Lifestyle Quizzes

Ongoing clinical trials also suggest that ecstasy may help treat chronic post-traumatic stress disorder (PTSD). Results of a Phase 3 trial found that 88% of participants who received MDMA-assisted therapy experienced a meaningful reduction in PTSD symptoms, with 67% no longer qualifying for a PTSD diagnosis after treatment. However, in some cases, you may continue to feel the side effects of ecstasy or “molly” the day after you take it. The symptoms may even persist for up to a week or more, especially if MDMA is mixed with other drugs such as marijuana.

Actively recruiting MDMA clinical studies

Bisexual females made up about 10% of ecstasy users compared with gay males (4.6%), bisexual males (3.6%), and lesbian females (1.7%). The fastest-emerging drug problem in the United States is the synthetic drug market, which now includes Molly. The chemicals in Molly have been found in nearly every state in the US. Interestingly enough, the formulas for these drugs were discovered by legitimate scientists working on new medications.

Water intoxication and electrolyte imbalance

MDMA shares this methylenedioxy ring with other entactogens and stimulants like MDA, MDEA and MDAI. Recently, the FDA designated MDMA-assisted psychotherapy for PTSD as a Breakthrough Therapy and ongoing MDMA studies can be found on clinicaltrials.gov. The DEA considers MDMA an illegal schedule I drug with no recognized medical uses.

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• The medical use of MDMA is highly regulated and only administered by healthcare professionals in regulated settings.
• This involves taking ecstasy along with the hallucinogenic drug LSD.
• On 40+ mg, it can be difficult to look sober, especially during the peak experience.At doses larger than 80 mg, it becomes nearly impossible to act sober so do not talk to your boss or your parents when you’re tripping.
• Serotonin syndrome requires immediate medical attention and can be fatal if left untreated.
• Other kinds of synthetic drugs can be sprayed onto plant material and smoked, such as synthetic marijuana.

But, the drug’s illegal status makes it very difficult for consumers to know the exact dosage of MDMA they’re taking. Instead, it is often misrepresented as MDMA (while actually being another substance like methylone or methamphetamine), or otherwise often cut with other substances, unwittingly or not. For the average person, there’s no telling what these impurities might be without a drug testing kit.

Shulgin’s research

Since it strips away emotional defense mechanisms and encourages socialization and bonding, some scientists have dubbed the drug an “empathogen.”  Among young adults (ages 19-30), about 14% have taken MDMA. MDMA’s notoriety as a party drug has meant that it is commonly abused with other substances such as marijuana and alcohol. As with all polydrug use, combining the drug molly, MDMA, or ecstasy with another substance increases the risk of overdose as well as additional health complications. Ecstasy overdose symptoms can include faintness, panic attacks or extreme anxiety, high blood pressure, and seizures.

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MDMA has moderate to high abuse potential but a conversely low potential for a genuine psychological dependence or addiction which appears even lower than cannabis (lower than 10%). Interestingly, MDMA’s potential for overuse and dependence or addiction can actually be greatly influenced by certain geographical components such as in other cultures or subcultures similarly to ketamine. Although ketamine‘s addiction potential is still notably higher across various cultures then compared to MDMA. Acute adverse effects of MDMA are usually the result of high amounts or multiple doses; either when done too frequently or excessively within a 24 hour period. MDMA has been shown to cause sexual dysfunction, including erectile dysfunction and delayed orgasm (see subjective effects). It is always best practice to remain mindful about how often you consume molly and how much you consume at one time.